King of the Court Entry

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Team Name *

Captain Name *

I WILL ACCEPT SOLE AND COMPLETE RESPONSIBILITY TO ANY AND ALL BODILY INJURY TO THE ABOVE NAMED INDIVIDUAL ARISING OUT OF HIS/HER PARTICIPATION IN THIS EVENT. THIS RELEASE IS NOT TO BE CONSIDERED AS A RELEASE FOR BODILY INJURIES CAUSED BY GROSS NEGLIGENCE OR INTENTIONAL SORTS ON THE PART OF SANTA ROSA COUNTY SCHOOL SYSTEM, ITS AGENTS, OR EMPLOYEES. EACH STUDENT AND HIS/HER PARENTS SHALL BE RESPONSIBLE FOR THE STUDENT’S TRANSPORTATION TO AND FROM THE SITE OF ACTIVITY.

Player 1 Name *

P1 Parent Phone *

P1 Electronic Parent Signature *

Signature agrees to waiver above.

Player 2 Name *

P2 Parent Phone *

P2 Electronic Parent Signature *

Signature agrees to waiver above.

Player 3 Name *

P3 Parent Phone *

P3 Electronic Parent Signature *

Signature agrees to waiver above.

P1 Grade & Age *

Player 1 Phone *

Player 1 Email *

Date *

P2 Grade & Age *

Player 2 Phone *

Player 2 Email *

Date *

P3 Grade & Age *

Player 3 Phone *

Player 3 Email *

Date *

Total

Categories